Olivia Katelyn Gordon, MS, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD007297 Issued in GA

Practice address

118 Brookstone Dr
Carrollton, GA 30116-4935

Phone

(678) 446-4952

NPI assigned

Jul 21, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katey Gordon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Marjorie Nolan Cohn LLC

  • Registered Dietitian
  • New York, NY
  • NPI 1760825160

  Dietitian, Registered

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753056000000",
    "number": "1215819362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROOKSTONE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301164935",
            "telephone_number": "678-446-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROOKSTONE DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301164935",
            "telephone_number": "678-446-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "OLIVIA",
        "middle_name": "KATELYN",
        "credential": "MS, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD007297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATEY",
            "last_name": "GORDON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jonathan M Goodin, MD
• Gwyndolyn B. Goodwin, D.C.
• Gordon T. Austin, D.M.D., P.C.
• Jefferson Taylor Gordon, M.D.
• Jenny Lyle Gordon
• Pam J Gordon, BS
• Robin Wilson Gordon, LPC
• Bridget Nicole Green Gordy, FNP , RN
• Amy Reed Goss, M.D.
• Brandon Gabe Graves, DNP CRNA

• Registered Dietitian in Carrollton, GA
• Providers in Carrollton, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.